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Individual

ELIZABETH GOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
1302 MEDICAL CENTER DR, WILMINGTON, NC 28401-7503
(910) 343-9800
Mailing address
242 RIVER WOODS DR, WALLACE, NC 28466-2557
(910) 552-0119
(631) 368-2838

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
422755-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
5007131
NC

Other

Enumeration date
06/26/2010
Last updated
06/26/2015
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